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HomeMy WebLinkAboutContract 46838-FP1 SECRETARY,FoRTWORTH '�NRAG , C TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION D.O.E. Ns: 7521 Regarding contract CS46838 for 2015-25 BRIDGE REPAIR & REHABILITATION @ 7 LOCATIONS as required by the TRANSPORTATION AND PUBLIC WORKS as approved by the City Council on 6/2/2015 through M&C C-27316 the director of the TRANSPORTATION AND PUBLIC WORKS upon the recommendation of the Assistant Director of the Transportation & Public Works Department has accepted the project as complete. Contractor: NORTH ROCK CONSTRUCTION LLC Original Contract Prices: $631,630.51 Amount of Approved Change Orders: ($9,049.53) Ns: 1 &2 Revised Contract Amount: $622,580.98 Total Cost of Work Completed: $622,580.16 Less Deductions: Liquidated Damages: Days @ 420.00/ Day Pavement Deficiencies: Less Previous Payments: $583,849.54 Final Payment Due: $38,730.62 i Recomme ded or Acceptance Date Asst. D' e tor, PW - Infrastructure Design and Construction Accepted Date Director, TR SPORTATION & PUB C WORKS City anager Date EMAILED OFFICIAL RECORD JUL 2 2 2016 CITY SECRETARY nitFT.WORTH,TX b FAC - -� --0O2575-CO26833-- i = TPW Construction Invoice ---_.. Ym Date:Payment g Contract: CS46838 P.O.# YO-15-8$14!1 3121141t� TO:Nord!Rock Contruction LLC INV.# 'CS46838-9 EstimateNo.- 9 DOE: 7521 525 S Loop 288 STE 105 ProjManager Tariqul Islam Denton TX 76205 FOR 2015-25 Bridge Repair&Rehabilitation @ Seven Locations ACH FINAL P�� Contract Amount: $622,580.98 Completed Ret Adi Pay Total to Date: $622,580.16 $0.00 $0.00 $622,580.16 Previous Estimate: $614,578.48 $30,728.92 $0.00 $583,849.56 Earned to Date: $8,001.68 $38,730.66 (530,728.92) a -$0.00 . a - -- -- Paymeets: !( ll &!190- 15"15163 ! $631,630.51 -COdl-($9,049.53) Total to Date: $622,580.16 $0.00 $0.00 $622,580.16 Previous Estimate: $614,578.48 $30,728.92 $0.00 $583,849.56 Earned to Date: $8,001.68 ($30,728.92) $0.00 $38,730.60 Transportation&Public Works BUSINESS SUPPORT GROUP Comm Person-BRANDY CRANE-Ext 2852 DepartmeniApproval Signature for: KAREN STRIKER ' DEPARTMENT CHECK PICK-UP r YES ❑ Saturday,June 25,2016 Page 1 of 1 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name BRIDGE REPAIR AND REHABILITATION AT SEVEN LOCATIONS(2015- Contract Limits Project Type PAVING City Project Numbers 117521 DOE Number 7521 Estimate Number 9 Payment Number 9 For Period Ending 3/2/2016 CD City Secretary Contract Number 46838 Contract Time 15CD Contract Date 6/2/2015 Days Charged to Date 132 Project Manager Islam Contract is 100,00 Complete Contractor NORTH ROCK CONSTRUCTION LLC 525 SOUT LOOP 288,SUITE 105 DENTON, TX 76205 Inspectors RODGERS / MOTAMED Friday,June 03,2016 Page 1 of 4 City Project Numbers 117521 DOE Number 7521 Contract Name BRIDGE REPAIR AND REHABILITATION A'I'SEVEN LOCATIONS(20 Estimate Number 9 Contract Limits Payment Number 9 Project Type PAVING For Period Ending 3/2/2016 Project Funding PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 3 ARMOR JOINT(CO#I) 266.75 LF $106.18 $28,323.52 266.75 $28,323.52 4 EXCAVATION(ROADWAY)(CO#1) 506.1 CY $76.12 $38,524.33 506.1 $38,524.33 6 REMOVE CONC(SIDEWALKS)(CO#1) 110.07 SY $36.22 $3,986.74 110.07 $3,986.74 7 REMOVE CONC(APPR SLAB&PAVT)(CO#1) 1071.41 SY $32.71 $35,045.82 107I.41 $35,045.82 9 CL S VONC(APPR SLAB)(CO#1) 424.7 CY $481.81 $204,624.71 424.7 $204,624.71 10 CL S CONIC(BRIDGE SDWLK)(CO#1) 24.56 CY $417.80 $10,26I.17 24.558 $10,260.33 11 CONC PVMT(CONT REINF-CRCP)(13")(CO#l) 172.98 SY $188.14 $32,544.46 172.98 $32,544.46 13 CNC STR REP(VERTICAL OR OVERHEAD)(CO 129.44 SF $482.87 $62,502.69 129.44 $62,502.69 #1) 14 CLEAN AND SEAL EXIST JOINTS(CL-7)(CO#1) 799 LF $34.96 $27,933.04 799 $27,933.04 15 REMOVE RAIL(METAL ELEMENTS)(CO#1) 8 EA $244.85 $1,958.80 8 $1,958.80 16 SPECIAL RAIL(HEMPHILL ST)(CO#1) 8 EA $1,287.49 $10,299.92 8 $10,299.92 17 SPECIAL RAIL(FELIX ST) 19 LF $278.04 $5,282.76 19 $5,282.76 18 FLOWABLE BACKFILL(CO#1) 459 CY $159.04 $72,999.36 459 $72,999.36 20 RIPRAP(CONC)(41N)(CO#1) 44 CY $1,412.60 $62,154.40 44 $62,154.40 21 RIPRAP(STONE SY R)(GROUT)(I81N)(CO#1) 9.2 CY $1,961.78 $18,048.38 9.2 $18,048.38 I ROSEMADE-GRADING UNDER BRIDGE(CO#1) 1 LS $2,964.00 $2,964.00 1 $2,964.00 2 FELIX STREET REMOVAL(CO#1) 1 LS $1,716.00 $1,716.00 1 $1,716.00 3 FELIX STREET FLOWABLE FILL REMOVAL 1 LS $1,255.90 $1,255.90 1 $1,255.90 (CO#1) 4 FELIX STREET SELECT FILL(CO#1) 50 CY $43.10 $2,155.00 50 $2,155.00 Sub-Total of Previous Unit $622,580.98 $622,580.15 Friday,June 03,2016 Page 2 of 4 City Project Numbers 117521 DOE Number 7521 Contract Name BRIDGE REPAIR AND REHABILITATION AT SEVEN LOCATIONS(20 Estimate Number 9 Contract Limits Payment Number 9 Project Type PAVING For Period Ending 3/2/2016 Project Funding Contract Information Summary Original Contract Amount $631,630.5I Chanize Orders Change Order Number 1 ($9,049.53) Total Contract Price $622,581.00 FDate 6-to- Total Cost of Work Completed $622,580.16 C itr ctor Less %Retained $0.00 M ate �Clp Net Earned $622,580.15 Inspectioll Supepisor Earned This Period $38,730.61 Retainage This Period $0.00 Date 6 Ac Less Liquidated Damages Prt Manager II Days @ /Day $0,00 Date LessPavement Deficiency $0.00 As e or/T�PW/-Infrastructure Design and oust ction Less Penalty $0.00 Wi Date 7 Less Previous Payment $583,849.54 ect /Contracting Departme Plus Material on Hand Less 15% $0.00 Balance Due This Payment $38,730.61 Friday,June 03,2016 Page 3 of 4 City Project Numbers 117521 DOE Number 7521 Contract Name BRIDGE REPAIR AND REHABILITATION AT SEVEN LOCATIONS(20 Estimate Number 9 Contract Limits Payment Number 9 Project Type PAVING For Period Ending 3/2/2016 Project Funding Project Manager Islam City Secretary Contract Number 46838 Inspectors RODGERS / M10TAMED Contract Date 6/2/2015 Contractor NORTH ROCK CONSTRUCTION LLC Contract Time 150 CD 525 SOUT LOOP 288,SUITE 105 Days Charged to Date 132 CD DENTON, TX 76205 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Work Completed $622,580.16 Less %Retained $0.00 Net Earned $622,580.15 Earned This Period $38,730.61 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $583,849.54 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $38,730.61 Friday,June 03,2016 Page 4 of 4 6x252016 BuySpeed Online n 7h'. r Online Accounts Payable Basic Purchasing Department Access NIGP Code Browse I My Acoount I Customer Service I About Current Organization:CTTY OF FORT WORTH® June 26,2016 1111:118:112 AM CDT A 9 40 x Home Documents Brandy Crane Invoice#: CS46838-FINAL Vendor#:0000037747 Vendor Group#:01 Status:41R-Ready for Approval d General Items Subcontractors Accounts Routing Attachments Notes Reminder Change Order Summary Back to PO GsnerelVetidathmVkn6rgs You we gang b final pay the folowng pard*Paid po ORru:[it Header Information 1 Invoice Number: CS46838-FINAL Invoice Status: 4Ready for Invoice Type: 3 waxy Approval mob*ing Invoice Description: CS461138-FINAL 2015-25 Bridge Repair h Rehabiitation @ Seven Invoice Date: 03/022016 Effect Date: 06125/2016 Locations Payment Amount: $38,730.60 Handling Code: ACH(DIRECT Payment Date: 03/272016 DEPOSIT) Payment Terms: Payment Term Day: o Payment 0.0% Discount Paid-Bank/Check: Alternate Id: Entered By: Brandy crane Entered Date: 06252016 Updated By: Brandy crane Updated Date: 06252016 Received Date: 02/18201611:16:00 AM Attachments Agency Flies: Agency Forms: Vendor Files: Vendor Forms: Purchase Order Information Purchase order PO-15-00089140 PO Description CS46838 Number: PO Amount: $622,580.98 Remaining To $0.82 Buyer: Brandy Crane Invoice: PoVendor Information Vendor: 0000037747-NORTH ROCK CONSTRUCTION LLC Address Gip: 01 VendorRemit-to Brady Brazel Address: 525 SOUTH LOOP 288 STE 105 DENTON,TX 76205 USA Ernst bbramlliiiinrocimonswabn.com Fed ID: " "6466 Remit Text: Phone:(940)220-5500 E:d.1052 FAX(877)3054657 Websts:tdtpJ/nrockwnstrucOon.corMndexphp Id:104831 Misc&Freight Invoice Account Event Type Fiscal Year Amount Code Transaction Amount Misc 16 39408-2060000--CO2575-CRETAN— $30,728.92 Totat $30,728.92 Item Information Invoice Item#IPO Item#.1 2015-25 Bridge Repair 6 Rehabilitation k3 Seven Locations C293-541200-205260257583 CS46638 M&C C-27316 Date 060215 Po Pernik Invoke Dlecaad% orlghtel Fine) RAM sbtm To Pay Ammult Pay Amwad Pay 3PPR-Pat WReceip $0.00 $8,001.68 0.0% so-GO Yea MAKE: ASSET MODEL- ASSET—MANUF: i r ASSET SERIAL: MipsOboo.fortworthbexss.gov/bsc/ptachaswclerlinvoceririvoiceSummarysdo?vertdorid=0000037747&docld=PO-1r0006914MeleawNbr=OBdooType=l&nn.. 1/2 6/25+2016 Bi ySpeed Online ASSET VIN: ASSET TAG: Event Type Fiscal Year Aocount Code Transaction Amount Exp. 16 39408-0200431-5740010--CO2575-0O2683-- $8,001.68 Enc. 16 39408-0200431-5740010--CO2575-CO2683-- -$8,001.68 Approval Path: Delete Approver Order Approval Level Approver Dake Date ApprovedfDlaepprwedlCanceled Comment Sequence Path Type Requested Approved/Disapproved/Canceled by View ID Add I — v Primary New L Add/Delete Approver Print_J Copyright®2016 Perlscope Holdings,Inc-At Rights Reserved.default httpsY/bso.fortwcrthtexas.gov/bso/purchasoorderAnvoicerinvoiceSum mary.sdo?vendorld=0000037747&docld=PO-15-00089140&rel easeNbr=O&docType=l&ma.. 212 ,CF Prompts ACTUALS 39408 2060000 CO2575 CRETAN $ (5,300.67) ACTUALS 39408 2060000 CO2575 CRETAN $ (3,461.95) ACTUALS 39408 2060000 CO2575 CRETAN $(12,950.00) ACTUALS 39408 2060000 CO2575 CRETAN $ (3,114.86) ACTUALS 39408 2060000 CO2575 CRETAN $ (5,024.13) ACTUALS 39408 2060000 CO2575 CRETAN $ (877.31) $(30,728.92) I PROJECT:(Name and a&.1re.ss) ARCHITECT'S PROJECT NUMBER: OWNER IN Bridge Repair and Rehabilitation at Seven Locations(2015-25) CONTRACT FOR: GGO1-539590-0202003 ARCHITECT ❑ Fort Worth,TX CONTRACTOR ❑ TO OWNER:(Name and address) CONTRACT DATED: 06/26/2015 SURETY❑ City of Fort Worth 1000 Throckmorton St, OTHER ❑ Fort Worth,TX 76102 STATE OR exas COUNTY OF: Denton The undersigned hereby certifies that,except as listed below, payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished.for all work.labor,and services performed.and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered. EXCEPTIONS: No Exceptions SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Name and address) 1. Consent of Surety to Final Payment. Whenever North Rock Construction LLC Surety is involved,Consent of Surety is 525 S Loop 288, Suite 105 required. AIA Document G707.Consent of Denton, TX 76205 Surety, may be used for this purpose. Indicate Attachment ®Yes L1 No BY: The fibilowing supporting documents should he attacher! (.Sigpature 51aut to .-,e representatn e hereto if required hp the Owner: John F. Gann II,.President_--__.. 1. Contractor's Release or Waiver of Liens. (Printed name and title) conditional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from Subscribed and sworn to bef re i on this date: 02/19/16 Subcontractors and material and equipment suppliers. to the extent required by the Owner. Notary Public: accompanied by a list thereof. 3. Contractor's Affidavit of Release of Liens My Commission E fres: 11-26-18 (AIA Document G706A). CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED. An original assures that changes will not be obscured. AIA Document G706T"—1994.Copyright 0 1970 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIA' Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA'Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e- mail The American Institute of Architects'legal counsel,copyright@aia.org. BARBARA K. STARR Notary public,State of Texas � Comm.Expires 1 1-26-2018 •....V 1 Notary ID 51537-5 �•u�ma`� CONSENT OF SURETY OWNFR o TO FINAL PAYMENT ARCHITEM' a CONTRACTOR P4 A/tl DOClllllC')lt G707CONTRACTOR LJ (Instructions on reverse side) 011 H.'*R E. TO OWNER: ARC HITFC'i"S PROJECT NO.:N/A � lNrtae•errd rrcld+txcl City of Fort Worth 1000 Throckmorton St, CON'T'RACT FUR: GGO1-539590-0202003 Fort Worth,TX 76102 PROJECT: CONTRACT DATED: June 2, 2015 0111me and mklnNo Bridge Repair and Rehabilitation at Seven Locations(2015-25) Fort Worth,TX In arc,,IYlanee with the provisions of the Contract iutweeii the Owner and the Contlactur as indicated:dove,the till.,u t rere+lrandrrrbinxc uJ:patY,'+ Philadelphia Indemnity Insurance Company One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004- SU RE71Y, on bond of tlA rt ala,re 1l+alrrr1d),%,a/(.i+alna lurl North Rock Construction LLC 525 S Loop 288, Suite 105 Denton,TX 76205 CONTRACTOR. hereby approves of the find payment to the Contrlctor,and:agrees that final payment u)the Contractor shall not relieve the Surety of any of its obligations to rhtx•rt ratter curd rahh Lm,f(ht uer) City or Fort worth 1000 Throckmorton St, Fort Worth, TX 76102 :ts set forth in said Surety's hond. IN Wl"GVF.SS WtirREOF,the Surety has hereunto set its hand on this date: February 10, 2016 thr.¢•+t in rtrilirn th.+auulL li+lhM+avl hI•Ilk•aaercri,11;11•(111rl'ITYtr.1 Philadelphia Indemnity Insurance Company 1111,11„/,nurr,ri.`Attoi vAttest: s�TSeal):Trenae Donovan, Witness Brad K. C x Ae -in act _ tPri+tled»amrltnd title) CAUTION: You should sign an original AIA document that has this caution printed in red. An I: ! original assures that changes will not be obscured as may occur when documents are rep�"ucoq. See Instruction Sheet for Limited License for Reproduction of this document. AIA DOCUMENT G707•t:oNSEN I'l)F SI'HF:IY'I'o FINAL PA"IEN1'• IW 1 1:1Ul'11,4N• :lA y l�xt,•nu: +u:wi_�tilvsnrt fill':rS.ri5�t:a ottl:.ave`Ir:.nor.\r�,lt );A,, AIR "NCl't)N I')(' )eMMMs.i!9.' • WARNING_Unlirmnnad nhatoroovinn vinlains U.S.ennv. _ 10709 PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS: that PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint:William D.Baldwin,Blaine Allen,Brent Baldwin,Brock Baldwin,Michael B.Hill,Monica Campos,Brady K.Cox&Russ Frenzel of Baldwin-Cox Aeencv LLC Its true and lawful Attorney(s)in fact with full authority to execute on its behalf bonds,undertakings,recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed$25,000,000 This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY at a meeting duly called the I°day of July,2011. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company to: (1)Appoint Attorney(s) in Fact and authorize the Attorney(s) in Fact to execute on behalf of the Company bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto; and (2) to remove, at any time, any such Attomey-in-Fact and revoke the authority given. And,be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with the respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF,PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED TIUS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 7TH DAY OF FEBRUARY 2013. (Seal) Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this Th day of February 2013,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY;that the seal affixed to said instrument is the Corporate seal of said Company;that the said Corporate Seal and his signature were duly affixed. COEtM AL7 NOTARGIEBEAt t)Aw sdw TV Raiff,N��000tt�ter��yrl�PLft LovwMGW* n ComttYilm kMsdt2Z�t6 b"k III Notary Public: A, residing at: Bala Cynwyd PA (Notary Seal) My commission expires: March 22,2016 I,Craig P.Keller,Executive Vice President,Chief Financial Officer and Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do herby certify that the foregoing resolution of the Board of Directors and this Power of Attomey issued pursuant thereto are true and correct and are still in full force and effect.I do further certify that Robert D.O'Leary Jr.,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attomey the drily elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY, In Testimony Whereof I have subscribed my name and affixed the facsimile seat of each Company this 10th day of February 20_-(,--. Craig P.Keller,Executive Vice President,Chief Financial Officer&Secretary', PHILADELPHIA INDEMNITY INSURANCE COMPANY 1927 FORTWORTH REV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY PROJECT INFORMATION Date: 3/2/2016 Name of Contractor Project Name North Rock con. Bridge repair and rehabilition at seven location(2015-25 DOE Inspector Project Manager Ali Motamed Tarig Islam DOE Number Project D{fflcult), Type of Contract 7521 O Simple © Routine Q Complex ❑ Water Waste water[:] Storm DrainageE Pavement Initial ContraAmount Final Contract Amount $631,630.51 $622,664.54 Il)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of inspector Lq 1 Accuracy of Plans to Existing Conditions 2 Knowled a of Inspector 12 Clarity&Sufficiency of Details L 3 Accuracy of Measured Quantities 3 Applicability of Specifications 4 Display Of Professionalism ` 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting u2 Valve Crews,Labs 1, 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Mana er 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts L 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS _ TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth- 1000 Throckmorton Street-Fort Worth,TX 76012-6311 (817)392-7941 -Fax:(817)392-7845 FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Name of Contractor Project Name North Rock con. Bridge repair and rehabilition at seven location(2015-25 DOE Inspector DOE Number Ali Motamed 7521 DOE Inspector Project Manager ❑ Water❑ Waste Water❑ Storm Drainage❑✓ Pavement Tarig Islam Initial Contract Amount Project Doer ulty $631,630.50 Q Simple Q Routine Q Complex Final Contract Amount Date $622,664.54 3/2/2016 H)PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(X) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 4 60 60 5 Work Performed 15 Y 4 60 60 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 3 60 45 8 Traffic Control Maintenance 15 Y 3 60 45 9 Daily Clean Up 5 Y 2 20 10 10 Citizen's Complaint Resolution 5 Y 1 3 20 15 11 Property Restoration 5 Y 3 20 15 12 After Hours Response 5 Y 3 20 15 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 386 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 386 IIn CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS]* 100%) 386 / 448 = 86% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good 2:80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector �'''1 Signature Contractor Signature DOE Inspector's Supervisor LA vzx CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS , ° The City of Fort Worth• 1000 Thtockmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 FORT WORTH, TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEMENTf► FINAL STATEMENTN DOE =r NAME OF PROJECT: eh�billtlon atseYen+ipc�L�loily(�0�¢,2liti) Contractor YEAR: 2016 p' '�',, ,+r r - r PROJECT NO.: FINAL INSPECTION DATE WD CD �4`- CONTRACT TIME b '. PERIOD FROM: arfiriac''.'' TO: ;;3M]2^8 BEG - Month DEVELOPME Y/N WORK ORDER EFFECTIVE: 1 "r 911/20,10 1 BEG /n y MID /n ;:;:r ' LIP YR /n DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR CHARGED DAYS CREDITED CHARGED DAYS CREDITED 16 2 Wed 3 Thu 0 W `; 18 4 Fri 0 31'3 19 5 Sat 0 �..". 20 ,rr `.'� -171119% 6 Sun 0 im21 7 Mon O 4rt'1 "t'a:, 22 8 Tue 0 23 { Oxy 9 Wed 0 � 24 10 Thu 0 3 tT A 25 11 Fri 0 12 Sat 0 � 27 ' ' `�•+^ 13 Sun 0 28 ° 1 _' '*•s":" rt 14 Mon 0 29 15 Tue 0 '� -NA 30 31 Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS HOLIDAYS RELOCATE CHARGED THIS PERIOD 0 0 0 0 0 0 PREVIOUS PERIOD 132 TOTAL TO DATE 0 0 0 0 132 132 REMARKS: M c�yv�,ty xAx;`'+ •w `r i:.i• •,�sy}j'E a g A (A :s ?. �� jw .y •ice M1" l`* 4'�'1'+�.K`" R}c � .0 't'Frlb-f f a' t)� 1 .{ } .cl S iir-Sy�F k`._,,r f-z ; q. •tom '� ' ��J.`:� r,.. t - 2'�Li- Y .'SY + l �4. s � � r4}�,y�_. •k. 71•^�'-'a''y _�: "� �,f_ � rT + i"'��- ,{'_-_ > R 4 Kia�;ib'e�'y»,.J` :r'�.?'y�e 1�, -�; - :. +� ': -11,.0 � �+:�t �ti c na. � .3 �r Wit; t'-P',�..-�r� 3Ga�'" - + ,4• �w's i��.•A' rnN .;t�'> '.'�rc t,.�: 7<ri.. �5 ,,,i. `!•��t f,�„f ", Via¢- s m�sj� .�c.. '+f� S ic`s• '{}^.. ,i v,•,.c'. .lY i`r'ri'?16.5'` .t ��E•�.' '.�'-.�'..�t.`,a:��g• - ..��"�';;?ii -ie:�:';,s,.i;:t-�r.��S- .�� fe Crane, Brandy From: Crane, Brandy Sent: Monday, May 23, 2016 11:44 AM To: Islam,Tariqul Cc: Nusrallah, Riad;Striker, Karen R. Subject: 2nd Change Order needed for North Rock Importance: High Hi Tariqul, I need you to process a 2nd change order ASAP for North Rock Const. so I can process the Green Sheet.When you did the 15t change order the revised contract amount dropped below the total cost of work completed. I need the 2"d change order to be processed in the amount of$83.58,this will bring the contract up to the total cost of work completed,you will not need an M&C because the funds are still in the project. I have attached the incorrect and correct green sheets. Please let me know when you have finished CO#2 and I will re-route the green sheet. INCORRECT GREEN SHEET TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION D.O.E.Ne:7521 Regarding contract C.S"838 for 2816-26 BRIDGE REPAIR&REHABILITATION*7 LOCATIONS as required by the TRANSPORTATION AND PUBLIC WORKS as approved by the City Council on 6/2/2015 through M&C C-27316 the director of the TRANSPORTATION AND PUBLIC WORKS upon the recommendation of the Assistant Director of the Transportation& Public Works Department has accepted the project as complete. Contractor: NORTH ROCK CONSTRUCTION LLC Original Contract Prices:..- _... ,. .. .,. $631,630.51 i ' Amount of Approved Change Orders: (69,049.53) } NO 1 ------------------- , i Revised Contract Amount: $625,580.98 - ..__.. _. .._...._....- - ..._._.. -- - ---- --•.•. _. --- ------------------------ Total Cost of Work Completed, $622,664,56 Less Deductions- . -•--- Liquidated Damages: Days 420.00/ Day - _ . Pavement Deficiencies: i Less Previous Payments: $583,549.54 �- -------------------------------------------------------------------------------- - ,-- ----------------- - - - -- - --- ------------------ Final Payment Due: $38,815.02 i ------------------------------- -•------------------ ----------------------------------------� NEW GREEN SHEET... 1 I TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION D.O.E.Ns.9521 Regarding contractCS46835 for 20IS-25 BRIDGE REPAIR&RZRABILITATION 7 LOCATIONS as required by the TRANSPORTATION AND PUBLIC WORKS as approved by the City Council on 6/2/2015 through,ll &C C-27316 the director of the TRANSPORTATION AND PUBLIC WORKS upon the recommendation of the Assistant Director of the Transportation 8s Public Works Department has accepted the project as complete. Contractor. NORTH ROCK CONSTRUCTION LLC - -F • - - --------------_ ------ - - -- r- ------- ._----- - Origrnal Contraet Prices: $631.630.51 i i Amount of Approved Change Orders, (58,965.95) ; N_. 1 &2 Revised Contract Amount: $622,664.56 f i Total Cost of Work Completed: $622,664.56 i Less Deductions: i i 4 Liquidated Damzges: Days 420.00/ Day 1 Pavement Deficiencies; 1 i Less.Previous Payments. $533,849.54 -_ __ Final Payment Due: _._,.. ._.__- ._.. ......_u -._._. . ._..__.... .. ... ......... __.a38,815.02 ._ ....... __ ._.._....,_,. ...... .' Thank you, Brandy Crane -Administrative assistant Transportation& Public -works 817-392-2852 Phone 817-392-8092 Fax Brandy.Crane ortworthtexas.go . City of Fort Worth—Working together to build a strong community FORTWORTHe Follow Fort Worth How am I doing? Contact my supervisor: Caren.Striker@Lort-worthtexas.gov 2 Our web address has changed Fortworthtexas.gov 3 FORT' WORTH. Recewed Sy Business Support Gaup Brandy Crana TRANSPORTATION AND PUBLIC WORKS JUN 11 NOTICE OF PROJECT COMPLETION D.O.E. Ns: 7521 Regarding contract 46838 for BRIDGE REPAIR AND REHABILITATION AT SEVEN LOCATIONS as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 06/02/2015 through M&C C-27316 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation &Public Works Department has ccepted the project as complete. Original Contract Prices: $631,630.51 Amount of Approved Change Orders: ($9,049.53) Ns 1 Revised Contract Amount: $622,580.98 Total Cost Work Completed: $622,580.16 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $622,580.16 Less Previous Payments: $583,849.54 Final Payment Due $38,730.62 Recommended for Acceptance Date Asst. Director, TPW Infrastructure Design and Construction Accepted Date Asst. Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT i I j Asst. City Manager Date I Comments: FUND ACCT: GG01-539590-0202003 FORTWORTH® Recek-*4� Business Sint Group Brandy .-�rane ,APR O 8, Z015 TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION D.O.E. Nq: 7521 Regarding contract 117521 for BRIDGE REPAIR AND REHABILITATION SEVEN LOCATIONS as required by the TRANSPORTATION AND PUBLIC WORKS DEPART r as approved by City Council on N/A through M&C N/A the director of the TRANSPORTATION AND WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation PubliWorks Department has accepted the project as complete. Original Contract Prices: $631,630.51 Amount of Approved Change Orders: ($9,049.53) Ne 1 Revised Contract Amount: $622,580.98 Total Cost Work Completed: $622,664.56 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $622,664.56 Less Previous Payments: $583,849.54 Final Payment Due $38,815.02 04/-o1- Zoi(o Recom ended for Accep nce Date Asst. Director, TPW - In astructure Design and Construction i Li Accepted Date Director, TRANSPORTATIO AND PUBLIC WORKS DEPARTMENT i Asst. CityMa ager Date Comments: FUND ACCT: GG01-539590-0202003 TPW Construction Invoice Contract: CS46838 P.O.# P645-89140 Payment Date: 3/2/2016 TO:North Rock Contrucfion LLC INV.# CS468384 r �-- Estimate No. 9 DOE: 525 S Loop 288 STE 105 ProjManager Tariqul Islam Denton TX 76205 FOR: 2015-25 Bridge Repair&Rehabilitation Q Seven Locations Contract Amount: $622,580.98 Completed Ret Adi Pay Total to Date: $622,664.56 $0.00 $0.00 $622,664.56 Previous Estimate: $614,578.48 $30,728.92 $0.00 $583,849.56 Earned to Date: ($30,7 8 92j "64 0.! 538,815.00` Payments: l .991;541200-2052602575$j, $631,630.51 CO#1-($9,049.53) Total to Date: $622,664.56 $0.00 $0.00 $622,664.56 Previous Estimate: $614,578.48 $30,728.92 $0.00 $583,849.56 Earned to Date: $8,086.08 ($30,728.92) $0.00 $38,815.00 Monday,May 23,2016 Page 1 of 1 City Project Numbers 117521 DOE Number 7521 Contract Name BRIDGE REPAIR AND REHABILITATION AT SEVEN LOCATIONS(20 Estimate Number 9 Contract Limits Payment Number 9 Project Type PAVING For Period Ending 3/2/2016 Project Funding Project Manager Islam City Secretary Contract Number 46838 Inspectors RODGERS / MOTAMED Contract Date 6/2/2015 Contractor NORTH ROCK CONSTRUCTION LLC Contract Time 150 CD 525 SOUT LOOP 288,SUITE 105 Days Charged to Date 132 CD DENTON, TX 76205 Contract is 000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded -------------------- -------------------- Total Cost of Rork Completed $622,664.56 OHL Less %Retained $0.00 Net Earned $622,664.54 MSt g S C c�>;v � a-- Earned This Period $38,815.00 8II8 emelnt 8II r etainage This Period $0.00 Brotherton - VesteMan/Scanned ❑ 1 Less Liquidated Damages 0 Days @ $0.00 /Day $0.00 IHeeding people have been Contacted concerning the regi RwAW payment&have released this project for such payment LessPavement Deficiency $0.00 Less Penalty $0.00 clamiKl w wy aftikq, Less Previous Payment $583,849.54 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $38,815.00 Friday,March 04,2016 Page 4 of 4 FORT NORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name BRIDGE REPAIR AND REHABILITATION AT SEVEN LOCATIONS(2015- Contract Limits Project Type PAVING City Project Numbers 117521 DOE Number 7521 Estimate Number 9 Payment Number 9 For Period Ending 3/2/2016 CD City Secretary Contract Number 46838 Contract Time 151ED Contract Date 6/2/2015 Days Charged to Date 132 Project Manager Islam Contract is 100.00 Complete Contractor NORTH ROCK CONSTRUCTION LLC 525 SOUT LOOP 288,SUITE 105 DENTON, TX 76205 Inspectors RODGERS / MOTAMED Friday,March 04,2016 Page 1 of 4 City Project Numbers 117521 DOE Number 7521 Contract Name BRIDGE REPAIR AND REHABILITATION AT SEVEN LOCATIONS(20 Estimate Number 9 Contract Limits Payment Number 9 Project Type PAVING For Period Ending 3/2/2016 Project Funding PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ----- ---------- ------- ------------ ------ 3 ARMOR JOINT(CO#1) 266.75 LF $106.18 $28,323.52 266.75 $28,323.52 4 EXCAVATION(ROADWAY)(CO#1) 506.1 CY $76.12 $38,524.33 506.1 $38,524.33 6 REMOVE CONC(SIDEWALKS)(CO#1) 110.07 SY $36.22 $3,986.74 110.07 $3,986.74 7 REMOVE CONC(APPR SLAB&PAVT)(CO#1) 1071.41 SY $32.71 $35,045.82 1071.41 $35,045.82 9 CL S VONC(APPR SLAB)(CO#1) 424.7 CY $481.81 £204,624.71 424.7 $204,624.71 10 CL S CONC(BRIDGE SDWLK)(CO#1) 24.56 CY $417.80 $10,261.17 24.76 $I0,344.73 11 CONE PVMT(CONT REINF-CRCP)(13")(CO#1) 172.98 SY $188.14 $32,544.46 172.98 $32,544.46 13 CNC STR REP(VERTICAL OR OVERIIEAD)(CO 129.44 SF $482.87 $62,502.69 129.44 $62,502.69 #1) 14 CLEAN AND SEAL EXIST JOINTS(CIr7)(CO#1) 799 LF $34.96 $27,933.04 799 $27,933.04 15 REMOVE RAIL(METAL ELEMENTS)(CO#I) 8 EA $244.85 $1,958.80 8 $1,958.80 16 SPECIAL RAIL(IIDMPFUL ST)(CO#i) 8 EA $1,287.49 $10,299.92 8 $10,299.92 17 SPECIAL RAIL(FELIX ST) 19 LF $278.04 $5,282.76 19 $5,282.76 18 FLOWABLE BACKFILL(CO#1) 459 CY $159.04 $72,999.36 459 $72,999.36 20 RIPRAP(CONC)(4IN)(CO#1) 44 CY $1,412.60 $62,154.40 44 $62,154.40 21 RIPRAP(STONE SY R)(GROUT)(18IN)(CO#I) 9.2 CY $1,961.78 $18,048.38 9.2 $18,048.38 I ROSEMADE-GRADING UNDER BRIDGE(CO#1) 1 LS $2,964.00 $2,964.00 1 $2,964.00 2 FELIX STREET REMOVAL(CO#1) 1 LS $1,716.00 $1,716.00 1 $1,716.00 3 FELIX STREET FLOWABLE FILL REMOVAL 1 LS $1,255.90 $1,255.90 1 $1,255.90 (CO#1) 4 FELIX STREET SELECT FILL(CO#1) 50 CY $43.10 $2,155.00 50 $2,155.00 Sub-Total of Previous Unit $622,580.98 $622,664.54 ------------- ---- ---------------------- Friday,March 04,2016 Page 2 of 4 City Project Numbers 117521 DOE Number 7521 Contract Name BRIDGE REPAIR AND RERABIPTATION AT SEVEN LOCATIONS(20 Estimate Number 9 Contract Limits Payment Number 9 Project Type PAVING For Period Ending 3/2f2016 Project Funding Contract Information Summary Original Contract Amount $631,630.51 Change Orders Change Order Number 1 ($9,049.53) Total Contract Price $622,581.00 Date _�L� Total Cost of Work Completed $622,664.56 o tractor Less %Retained $0.00 Date 2. Net Earned $622,664.54 spection Supervisor Earned This Period $38,815.00 jzAl _ Retainage This Period $0.00 Date lqq���//6 Less Liquidated•Damages Project Manager Days aQ /Day $0.00 Date q-10/ Z01(,P LessPavement Deficiency $0.00 As t. recto/T'PW-Infiastructure Design and lConstruction Less Penalty $0.00 Less Previous Payment $583,849.54 Director/ ntracting Deparhn Plus Material on Hand Less 15% $0.00 Balance Due This Payment $38,815.00 Friday,March 04,2016 Page 3 of 4